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General NPI Number Information
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NPI Number | 1538143276
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Entity Type | Individual
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Provider Name | CHARLES J HOCHBERG MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DRIVE
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City | MORGANTOWN
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State | WV
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Zip | 26506
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Country | US
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Telephone | 304-293-5631
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Fax | 304-293-2131
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Provider Business Mailing Address
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Address Line | PO BOX 780
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City | MORGANTOWN
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State | WV
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Zip | 26507-0780
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Country | US
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Telephone | 304-285-7101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD19312
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 22953
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License Number State | WV
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